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06-2866 (RPL) 111111 VIII III VIII(III 03 fly P.O. BOX 1504 __ --- VOICE (760) 777-7012 T4:ht 4 78-495 CALLE TAMPICO FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 8/01/06 Application Number: 06-00002866 Owner: Property Address: 80873 CALLE AZUL RON CHEMERS APN: 762-240-003-54 -300962- 80873 CALLE AZUL Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES D d a Application valuation: 19500 Contractor: AUG 0 2 2006 Applicant: Architect or Engineer: MCRAE POOL & SPAS 79105 DESERT STREAM DR CMOFL AQUIMA LA QUINTA, CA 92253 PT (760)772-2440 Lic. No. : 823017 - ----------- - ----------- ----- - ---- ----- - - - ----------- -------------- -- - --------------- ------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby.affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Business and Professionals Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided Lice lass: C53-C27 License No.: 823017 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is rr NJL y� issued. Date: �b ontractor: / - POQ/-f _ I have and will maintain workers'compensation insurance;as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier--EEXX-�' MPT Policy Number EXEMPT following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to I certify that,in the performance of the work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the -abor Code, II for that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: aQ Applicant: _ ■ (_1 1,as owner of the property,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND . and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the projects with a contractors)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_1 I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and,59unty ordinances and state laws relating to building construction,and hereby authorize representatives of thi ounty t ent r upon t e'above-mentioned property for i spa ction pur oses. Lender's Name: ate: /Z■ ' nature(Applicant or Agent): Lender's Address: LQPER1141T Application Number 06-00002866 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 19500 Expiration Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25, 000 162.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . Valuation 0 Expiration. Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- .Permit ELEC POOL PERMIT-RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 --------------------------------------------- ------------------------------ Permit . . . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 2 .00 6.0000 EA PLB FIXTURE 12.00 1.00 3 .0000 EA PLB WATER 'INST/ALT/REP 3.00 1.00 3 .0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN . LQPERAiIT Application Number 06-00002866 ---------------------------------------------------------------------------- Special Notes and Comments PLACE AT PRE-PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 311.00 .00 .00 311.00 Plan Check Total 160.55 .00 .00 160.55 Grand Total 471.55 .00 .00 471.55 LQPERMIT Bin # City of La Quinta Building a Safety.Division . Permit# P.O. Box'1504, 78-495 Calle Tampico n�00 La Quinta, CA 92253 - (760) 777-7012 d' Building Permit Application and Tracking Sheet Project Address: 90—Y73 'f 6' ZV) Owner's Name: A.P.Number: Address: Legal Description: City,ST,Zip: . ; �`a ['� 22 Contractor: Mce &.I*S Telephone: € Address: '�' ,s�. drIFAMProject Description: City,ST,Zip: 221 S3 Telephone: 72 State Lic.# 2n 7 City Lic.#: Arch.,Engr.,Designer: Address: City,ST,Zip: Telephone: 1 Construction Type: Occupancy: State Lic.#: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: 3.y 3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed,ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2""Review,ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- ''"Review,ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue Schoof Fees Total Permit Fees 't 1-4 q; I �' ,t 3�lvl�tJ.�J, 1.1 i �,i / fa�✓� "��ja�� ��' -"� © r}• K. } 1 1 ,�, Y. PA t , b � l F � D z ? O � o m: m CA IZZ \ r� J. CITY OF LA OUINTA P o N ;_ SAFETY DEPT. < BUILDING AOR CVE P "M. °, ONSTRUCTION €N'a♦O�_� ( } i jf,,Iii:. zz . �E N ^�'� j•.9L � l lift o z v " ' � F Nf m z 4z � m 3' - ,apt- 7,'•06 90- 873 P Uc2TA A 2 v l CITY OF LA QUINTA .r SUB-CONTRACTOR LIST JOB ADDRESS - PERMIT NUMBER OWNER - CkMER S BUILDER MC17A �, CJD This form shall be posted on the job with the Building Inspection Card at-all times in a conspicuous place. Only persons appearing on this list or their-employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to cornmencement of'work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "On Fife" is not an acceptable response. ;::<>:<::: ::S o a « Workers Com ensation lrsuraiice Cit :'Business License:":. :: Trade / Classificabon Contractor tate C ntr clot s License City Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date (e.g.A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx) (xxxx) (xx/xx/xx) EARTHWORK (C-12) 6130JOR S _ , CONCRETE (C-8) ' T D4107hJ1 -1-0-) q FRAMING (C-5) 0 STRUCT.STEEL (.G-51) �l7 77 .(-� 7 MASONRY (1;-29) PLUMBING(C-36) e S �� LATH, PLASTER (C,36) O 3- . 2762/ 70 10/31)0 / -,2M3 - - � 6 z •�� DRYWALL(C-9) . .. HVAC (C-20)`:..:.: f�J n �--� / 1. ELECTRICAL.(CA 0)':.' .:.. N D//`/ l�/J I"� $0:�� V t7 O - 9 7 7 ROOFING-'(C"39)'.: >>' SHEET METAL(C 431 FLOORIN%(C`I5);' GLAZING (C-17) INSULATION%(C-2) SEWAGE DIS P-; (C.-42) PAINTING (C=33) CERAMIC TILE(C-54) CABINETS (C-6) FENCING (C-13) LANDSCAPING (C=27) '. POOL (C-53) U3